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DOI 10.1177/20552076231170689

Медицинская библиотека · Digital health · 2023

Governing through big data: An ethnographic exploration of invisible lives in China's digital surveillance of the coronavirus disease 2019 pandemic.

Zhang Liyuan, Rafiq Mohamed Y

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Аннотация

INTRODUCTION/

BACKGROUND

Since 2020, China has implemented unprecedented digital health surveillance over citizens and residents in response to the coronavirus disease 2019 pandemic. We explore the implementation of Health Code (jiankang ma), a contract-tracing and risk assessment app for coronavirus disease 2019, in China. By engaging with the concept of 'ocular ethics', we ask why and how some populations become invisible in China's Health Code surveillance system.

METHODS

This study used an ethnographic approach to critically examine the role of digital technology in the coronavirus disease 2019 pandemic governance. Three months of participant observation and 20 interviews were conducted to understand the design of Health Code and the situation of homeless population.

RESULTS

We find that China's digital health surveillance during the coronavirus disease 2019 pandemic has failed to cover the homeless population, who either fail to access Health Code or find ways to avoid its mandatory health surveillance. We further summarize four problems resulting in their exclusion, including the loss of ID cards, access to smartphones and phone numbers, problematic design and elastic surveillance, and the neglect of homeless community's precarious living situation.

CONCLUSION

Situating our work in the literature on theories of surveillance and anthropology of pandemics, we argue that without recognizing the structural problems embedded in homelessness, a large number of poor and homeless migrants are rendered invisible in this data-driven health surveillance, which further pushes them into social exclusion.

Для цитирования: Zhang Liyuan, Rafiq Mohamed Y. Governing through big data: An ethnographic exploration of invisible lives in China's digital surveillance of the coronavirus disease 2019 pandemic.. Digital health. 2023. DOI: 10.1177/20552076231170689.
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